23D2042389 CLIA NUMBER - WALGREENS #15466

Laboratory Demographics

  • CLIA Code: 23D2042389
  • Facility Name: WALGREENS #15466
  • Facility Address: 800 LEONARD STREET NW
    GRAND RAPIDS, MI
    ZIP 49504
  • Facility Phone: 616 458-8300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HIEN SLAGEL
  • NPI Number: 1265447379
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2042389
LAB Type Pharmacy
Facility Name WALGREENS #15466
Street 800 LEONARD STREET NW
City GRAND RAPIDS
State MI
ZIP 49504
Phone 616 458-8300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Pharmacy
Lab Director HIEN SLAGEL

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This page was last updated on: 9/29/2025